Provider First Line Business Practice Location Address:
338 ALEXANDER SPRING RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17015-9129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-218-5103
Provider Business Practice Location Address Fax Number:
717-303-3729
Provider Enumeration Date:
06/18/2008